| Mr Carl Allen Counts, MED LPC | |
| 
					600 E Unaka Ave, Johnson City, TN 37601-4035  | |
| (423) 212-1236 | |
| Not Available | 
| Full Name | Mr Carl Allen Counts | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Professional | 
| Location | 600 E Unaka Ave, Johnson City, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598858474 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | LPC0000001452 (Tennessee) | Secondary | 
| 101YP2500X | Counselor - Professional | 1452 (Tennessee) | Primary | 
| Entity Name | Brightside Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230404000547  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Carl Allen Counts, MED LPC 153 Marion Branch Rd, Elizabethton, TN 37643-5804 Ph: () -  | Mr Carl Allen Counts, MED LPC 600 E Unaka Ave, Johnson City, TN 37601-4035 Ph: (423) 212-1236  | 
Mrs. Vicki Marie Britton, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6556 Fax: 423-283-6550  | |
Hayley Christian Henderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 West Watauga Avenue, Watauga C&y, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644  | |
Matthew M Midkiff, LPC, MHSP Counselor Medicare: Medicare Enrolled Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644  | |
Neil Stoltzfus,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 W Oakland Ave Ste 202, Johnson City, TN 37604 Phone: 423-850-1150  | |
Michael Arthur Benoit,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6500 Fax: 423-283-6550  | |
Dr. Nicholas Porta, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 Phone: 423-529-0385 Fax: 423-414-2699  | |
Jessica Cabe, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 3114 Browns Mill Rd, Johnson City, TN 37604 Phone: 423-631-0432  |